NDC codes

FDA NDC Directory
Product NDC (as listed)13668-676Labeler and product segments. Claims need a package NDC.
Product NDC at billing width13668-0676Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
13668-676-0113668067601100 TABLET in 1 BOTTLE (13668-676-01)Marketed from Dec 29, 2022
13668-676-301366806763030 TABLET in 1 BOTTLE (13668-676-30)Marketed from Dec 29, 2022

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Dichlorphenamide
Generic name (nonproprietary)
dichlorphenamide
Active ingredients
Dichlorphenamide — 50 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 215924
Marketing start
Listing expires
Other FDA classes
Carbonic Anhydrase Inhibitors (Mechanism)Sulfonamides (Chemical structure)
Identifiers
Product ID 13668-676_1d0520f1-bf08-4def-a715-2ab45a18393eSPL ID 1d0520f1-bf08-4def-a715-2ab45a18393eSPL set ID 64bf0c71-2113-47dc-8ce5-7fe535e558dcRxCUI 197594UNII VVJ6673MHYUPC 0313668676303
Pharmacologic class
Carbonic Anhydrase Inhibitor

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N413668067601 followed by a unit qualifier and the quantity

Package 13668-0676-01. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Dichlorphenamide tablets are indicated for the treatment of primary hyperkalemic periodic paralysis, primary hypokalemic periodic paralysis, and related variants. Dichlorphenamide tablets are an oral carbonic anhydrase inhibitor indicated for the treatment of primary hyperkalemic periodic paralysis, primary hypokalemic periodic paralysis, and related variants ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 215924

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 215924
ProductStrengthForm · routeLabelerProduct NDC
OrmalvidichlorphenamideDichlorphenamide 50 mg/1TabletOralCycle Pharmaceuticals Ltd.70709-085

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